| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
11,449 |
962 |
$416K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,720 |
390 |
$1K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,473 |
693 |
$257.73 |
| 80069 |
|
1,065 |
947 |
$252.90 |
| 84520 |
|
1,106 |
950 |
$227.47 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,275 |
284 |
$0.00 |
| 83970 |
|
373 |
343 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
801 |
355 |
$0.00 |
| 85014 |
|
423 |
370 |
$0.00 |
| 83540 |
|
365 |
341 |
$0.00 |
| 83550 |
|
363 |
341 |
$0.00 |
| 85018 |
|
1,487 |
906 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
8,693 |
633 |
$0.00 |
| 85027 |
|
975 |
935 |
$0.00 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
1,457 |
140 |
$0.00 |
| 86803 |
|
108 |
104 |
$0.00 |
| 82728 |
|
370 |
345 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
79 |
78 |
$0.00 |
| 86706 |
|
68 |
65 |
$0.00 |